| NPI | 1013506013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE ELIZABETH KHARAS Clinical Psychologist 773-330-5688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |