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 |