| NPI | 1336535764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY GIPSON Owner 847-322-0756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2020-04-05 |