NPI | 1871951988 |
---|---|
Entity Type | Organization |
Authorized Contact | TYTANNIE HARRIS Owner/Therapist 773-803-1979 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016416) |
Enumeration Date | 2016-02-03 |
Last Update Date | 2019-05-06 |