| NPI | 1699207746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MAURIELLO Owner 630-890-4899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017973) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |