| NPI | 1326590787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA ANN THOMASON Psychotherapist 773-771-4877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015738) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |