| NPI | 1194189712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA JEAN-LOUIS Owner / Psychotherapist 312-469-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014279) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 149.014279) |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2018-03-17 |