NPI | 1811006521 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA A BARRAS President 847-679-3040 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071003218) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2020-08-22 |