| NPI | 1932339850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L MCCOMB Marriage And Family Therapist 312-208-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000717) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |