| NPI | 1174826994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M PATRICIA FARRELL President 708-361-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.003119) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |