| NPI | 1306985296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN CATHERINE WISE Therapist 815-360-3159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007866) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-05-22 |