| NPI | 1972825164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE ELIZABETH RICHTER Licensed Clinical Psychologist 847-234-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006792) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2012-09-06 |