| NPI | 1619642022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA R. LORENZ Sole Member/Clinical Psychologist 630-344-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |