| NPI | 1790220820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN NAVARRO Licensed Clinical Psychologist 847-830-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 071005290) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |