| NPI | 1881725919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN JACOB Art Therapist, Licensed Counselor 773-562-1388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180004768) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |