| NPI | 1306516323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MICHELE LONG Clinical Psychologist 312-248-3481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |