| NPI | 1063856417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN A TAYLOR Owner/Lic Clinical Psychologist 312-753-9465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007840) |
| Enumeration Date | 2013-04-28 |
| Last Update Date | 2013-05-15 |