| NPI | 1508239278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE JOHNSON Owner 847-220-8428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000967) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2025-08-11 |