| NPI | 1699506600 |
|---|---|
| Former Legal Business Name | LANA STANDARD PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | LANA STANDARD Owner, Psychotherapist 309-337-1362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |