| NPI | 1770836058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA PETERSEN MENDOZA Owner 630-710-9659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000874) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |