| NPI | 1356368195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA MARIE WOLFE Licensed Clinical Psychologist 815-462-3827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071606506) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-02-12 |