| NPI | 1558058875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH L. JOHNSON Owner 773-720-4029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-20 |