| NPI | 1730579012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN JACOBSEN Owner 773-633-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180008355) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |