NPI | 1245623321 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY ELIZABETH ROLFE Owner/Lcpc 872-395-8155 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008939) |
Enumeration Date | 2015-03-12 |
Last Update Date | 2015-03-12 |