| NPI | 1194136051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE-MARIE NICOLAS Owner/Psychologist 773-551-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008505) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |