| NPI | 1760082192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY ROBERTS Owner 847-609-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2021-05-03 |