| NPI | 1104465863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA DITTOE BARRETT Clinical Psychologist / Owner 847-942-5652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-12-29 |
| Last Update Date | 2019-12-29 |