| NPI | 1386984250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SAMUEL Licensed Psychologist 630-240-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: 071.008447) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-05-22 |