| NPI | 1841795275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH STRAIN Owner 847-920-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007296) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-11-12 |