| NPI | 1578301610 |
|---|---|
| Doing Business As | JULIA BAUER |
| Entity Type | Organization |
| Authorized Contact | JULIA BAUER Lcsw 309-532-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-22 |