NPI | 1083929327 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGOT GAY MAHAN President 312-719-1360 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006277) |
Enumeration Date | 2010-08-11 |
Last Update Date | 2010-08-11 |