| NPI | 1245545359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ROSENBLOOM Clinical Psychologist 312-420-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006588) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |