NPI | 1700273976 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE MARION MARTIN Director 847-624-2776 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000697) |
Enumeration Date | 2015-04-24 |
Last Update Date | 2015-04-24 |