| NPI | 1689562472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA LOUISE SCHUBACH Owner/Mental Health Therapist 309-360-3108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |