| NPI | 1982049235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY L SKRYPNYK Therapist 773-706-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008197) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 18007927) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |