| NPI | 1407674492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SCANLON Lcpc/ Owner 847-533-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |