| NPI | 1205102043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE BRIDWELL Psychotherapist 224-578-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 248000554) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |