| NPI | 1720541915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE A GONZALEZ Counselor 630-248-6069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2020-04-20 |