| NPI | 1861244287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIE R HENAINE Licensed Clinical Psychological 224-319-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-09-10 |