| NPI | 1114229580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L ANDERSON Clinical Psychologist/Owner 708-614-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071-004363) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |