NPI | 1134244932 |
---|---|
Entity Type | Organization |
Authorized Contact | MARA STEIN President 773-338-2980 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-005098) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |