| NPI | 1386405876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN L HERMAN Co Owner 224-829-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-07-02 |