Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 178.016033 | IL |
NPI | 1003413378 |
---|---|
Provider Name | Erika Aguirre |
First Address | Chicago, IL 60632-4919 |
Second Address | Chicago, IL 60632-4919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2020 |
Last Update Date | 08/10/2020 |