| NPI | 1205409927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA THOMAS Owner 708-676-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |