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 |