| NPI | 1649518515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY M HURST Owner 312-543-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: IL 180-003221) |
| Additional Taxonomies | 221700000X Art Therapist |
| 101YP2500X Counselor, Professional | |
| 225600000X Dance Therapist | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2023-08-19 |