NPI | 1437470234 |
---|---|
Entity Type | Organization |
Authorized Contact | SHOJI MARY BOLDT Owner/Therapist 847-347-0688 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.004697) |
Enumeration Date | 2010-06-15 |
Last Update Date | 2010-06-15 |