| NPI | 1316712656 |
|---|---|
| Other Name | PROTEAN ARCHETYPES LLC |
| Entity Type | Organization |
| Authorized Contact | MARY HOLLAND Licensed Clinical Psychologist/Owne 630-632-5069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-04-30 |