| NPI | 1093263881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA RODRIGUEZ Professional Counselor 815-302-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009306) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-27 |