| NPI | 1861088643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA TAYLOR Psychotherapist 773-790-3738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2022-12-16 |