| NPI | 1669917324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HERZOG Owner/Clinical Director 708-557-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001024) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2024-04-30 |