| NPI | 1437216561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LOURY-LOMAS Counselor 773-487-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005017) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2020-08-22 |