| NPI | 1124493614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ELAINE CLAMAN Owner 773-490-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008327) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |