| NPI | 1912499351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA DERKS Owner/Psychotherapist 847-708-4192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5616-125) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |