| NPI | 1144548934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANNA GRAHAM Clinical Psychologist 773-501-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007159) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2023-10-06 |