| NPI | 1497284996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE KENDALL KOOS Owner/Clinical Therapist 630-234-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-007322) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |