| NPI | 1245669076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN A BARSANO Licensed Clinical Psychologist 773-259-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007443) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2021-12-03 |