NPI | 1598253999 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA EMELIE RISKER Owner / Lcpc 773-316-8693 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IL 180008062) |
Enumeration Date | 2018-05-01 |
Last Update Date | 2018-05-01 |