| NPI | 1528532363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY DAGOSTINO Licensed Clinical Prof Counselor 847-208-5976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2023-12-31 |