| NPI | 1821525445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILA ELENA SALVISBERG Licensed Clinical Counselor 872-529-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009667) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |