| NPI | 1952497935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LAURENE BRANDT President 630-456-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000532) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180.006083) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-10-14 |