| NPI | 1821407743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN CUTLER Owner 773-417-6342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006457) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2022-09-15 |