| NPI | 1154426237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY S MOLITOR Owner 847-251-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071003774) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2023-09-27 |