| NPI | 1285003160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN KING Owner/Psychotherapist 872-256-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.0000636) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-10-09 |