| NPI | 1659048858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA FULLERTON Owner And Clinician 847-456-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2023-04-06 |