| NPI | 1972285237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER C LOFTON Marriage And Family Therapist 708-334-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |