| NPI | 1275978082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA LICAVOLI Owner 630-330-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.004881) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2018-05-14 |