| NPI | 1144057241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ELIZABETH NOREN President/Lic Clin Psychologist 815-245-5968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-09-14 |
| Last Update Date | 2024-09-14 |