NPI | 1205944360 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA STERN Owner 773-525-7942 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071003130) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 14900967) |
1041C0700X Social Worker, Clinical (Licence: IL 149002095) | |
106H00000X Marriage & Family Therapist (Licence: IL 166000383) | |
Enumeration Date | 2006-08-29 |
Last Update Date | 2020-08-22 |