| NPI | 1376025445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIA WHEELER Clinical Professional Counselor 847-707-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180009855) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |