| NPI | 1346865904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE WARNING-PROBST Clinical Psychologist 815-685-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |