| NPI | 1225525918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN PELLICANO Therapist 630-453-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006509) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-11-19 |