| NPI | 1114369493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA MATHIASEN President 847-255-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.007404) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |