| NPI | 1598197097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LARSON President & Psychotherapist 773-398-0359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006534) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |