| NPI | 1316455686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY KENWORTHY Owner/Psychotherapist 773-458-6904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011992) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |