| NPI | 1609243492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN A HULTGREN Lcpc, Owner 630-800-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009077) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |