| NPI | 1659962777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LAPORTE Owner/Director/Psychotherapist 630-590-9522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |