| NPI | 1487891198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGHT-PROPHET ETERNITY FELLOWES President 847-566-0164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007152) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |