| NPI | 1538918263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANA DANIELLE LUCARELLI Licensed Clinical Psychologist 847-903-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |