| NPI | 1366214611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA BURBACK Partner 630-880-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |