| NPI | 1568956696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA AMMIRATI Owner 847-217-9381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-07-21 |