| NPI | 1740403476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIE RYAN LUKANICH Professional Counselor 708-829-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180003610) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |