| NPI | 1437560109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE MARKLEIN Licensed Clinical Psychologist 217-778-3452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IL 071.008695) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |