| 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 |