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 |