| NPI | 1023814654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WOODCOX BOLDEN Owner 312-779-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |