| NPI | 1871173674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY JANE NETTLETON Clinical Psychologist/Owner 312-446-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |