| NPI | 1235683657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ASHLEY Sole Owner 312-834-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008959) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |