| NPI | 1679719652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE DEAN Sole Member 815-355-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071-006447) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 3-1970) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2011-08-23 |