| NPI | 1689264913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE LIEBERT-HERETH Co Owner/ Psychotherapist 312-927-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |