NPI | 1104164128 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL RILEY FANCHER Clinical Psychologist 312-854-9764 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071008207) |
Enumeration Date | 2013-01-25 |
Last Update Date | 2013-01-25 |