| NPI | 1619098282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI F CHRISTIANSEN President 708-226-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005624) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |