NPI | 1083916688 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNE E HATTENDORF President 815-744-8253 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IL 071005887) |
Enumeration Date | 2010-12-02 |
Last Update Date | 2012-01-30 |