| NPI | 1265819254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA A. BARNETT Owner 312-771-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016107) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-09-16 |