| NPI | 1568806859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ASHLEY MCNAMARA Owner/Clinician 815-603-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015630) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |