| NPI | 1932571841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE HERBSTMAN Owner 312-307-9887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013810) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |