| NPI | 1649604828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY DANIELS President 847-877-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007816) |
| Enumeration Date | 2013-08-24 |
| Last Update Date | 2013-12-09 |