| NPI | 1912050626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY B GOLD Counselor 312-280-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180004117) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |