| NPI | 1700142452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILARY DAVIS Marriage & Family Therapist 773-450-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.004942) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.000652) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |