NPI | 1750751962 |
---|---|
Entity Type | Organization |
Authorized Contact | SHILPA JHOBALIA Licensed Clinical Prof. Counselor 331-645-3465 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009867) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2015-10-14 |