| NPI | 1427478668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE MARTIRENA Licensed Professional Clinical Coun 773-319-8138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180008411) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |