| 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 |