| NPI | 1184486904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE KOUIMELIS Owner Clinician 630-292-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2025-01-25 |