NPI | 1255604187 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN JULIA GERUT Psychotherapist 312-925-8737 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149007059) |
Enumeration Date | 2012-02-23 |
Last Update Date | 2012-02-23 |