| NPI | 1306386099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA SHIELS Clinical Psychologist/Owner 224-723-3907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05449) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |