NPI | 1912173493 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLISON AVERY COTTON Therapist/Owner 630-995-9560 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009974) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2008-05-05 |