| NPI | 1346938164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORISA EBY Owner/Therapist 224-577-9203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-10-31 |