| NPI | 1801312004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA D PRYOR Therapist 773-757-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010323) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2021-02-18 |