| NPI | 1184054769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN WITHERS Owner Psychotherapist 708-209-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 248000855 149006998) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |