| NPI | 1891177572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MILANI Owner 309-230-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.006569) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.011055) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |