| NPI | 1679392138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN CONLEY Marriage & Family Therapist 630-577-7476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |