| NPI | 1417579731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BURBACK Owner 847-748-2558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |