| NPI | 1871034447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DELAROSA Practice Owner 847-302-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180003905) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |