| NPI | 1326696154 |
|---|---|
| Doing Business As | KELLY VIERRA, LCSW |
| Entity Type | Organization |
| Authorized Contact | KELLY VIERRA Clinical Therapist 773-807-8474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2022-04-14 |