| NPI | 1194456616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MAHON Owner 847-287-0916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |