Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 178.010925 | IL |
NPI | 1316316870 |
---|---|
Provider Name | Margaret M Brennan |
First Address | Chicago, IL 60611-2014 |
Second Address | Chicago, IL 60611-2014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2015 |
Last Update Date | 15/09/2015 |