| NPI | 1447019245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HOLLYSMITH Licensed Marriage And Family Therap 224-324-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |