| NPI | 1003106139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN ANDREWS Member 630-968-9817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |