| NPI | 1669142519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADYSEN MARIE OSTROWSKI Owner/Mental Health Therapist 815-307-4849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |