| NPI | 1740724772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA K WALZ Sole Member/Owner 312-543-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149010993) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |