| NPI | 1558983783 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PATRICE KAREN QUEHL Owner 312-208-5620 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2020-05-11 | 
| Last Update Date | 2020-05-11 |