| NPI | 1366965394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BERRY Owner 312-714-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.01099) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-07-21 |