NPI | 1992957757 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN DOURLET MOTT President/Owner/Psychologist 847-604-4140 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-004004) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2008-10-10 |