| NPI | 1851923759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MARWEDE Owner 847-508-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2025-04-05 |