| NPI | 1316708621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA PATTON-VAN BUSKIRK Owner/Clinical Director 312-324-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-02-13 |