NPI | 1568988905 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER L WILSON-BINOTTI Owner/Practitioner 847-436-8511 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008512) |
Enumeration Date | 2017-08-17 |
Last Update Date | 2022-07-21 |