| NPI | 1063604262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON V. DIGIACOMO Licensed Clinical Psych.; President 815-932-8443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071.007286) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |