| NPI | 1275995128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE NELSON-GERHARDT Owner/Manager 815-508-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000746) |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2016-03-21 |