| NPI | 1063967255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN SENICA LANGLEY President/ Clinical Psychologist 773-480-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007807) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |