| NPI | 1073023776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDYCE BOOKER Owner/Therapist 217-552-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017310) |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2017-10-09 |