NPI | 1255731493 |
---|---|
Entity Type | Organization |
Authorized Contact | MUDITA RASTOGI Licensed Marriage & Fam Therapist 847-258-7273 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166-000369) |
Enumeration Date | 2014-08-25 |
Last Update Date | 2014-08-25 |