| NPI | 1669616009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY S BRUCKER President 630-809-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000599) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-08-24 |