| NPI | 1295322493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY NICCOLE PRUGH Owner/Marriage And Family Therapist 773-474-9082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |