NPI | 1902292048 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA CEISEL Owner & Clinical Director 224-723-5772 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071008493) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2023-07-18 |