| NPI | 1992114128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE SINES Lmft 773-899-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 166000863) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |