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 |