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 |