NPI | 1326217860 |
---|---|
Entity Type | Organization |
Authorized Contact | SUE LAFFERTY President 847-475-8625 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004575) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2008-02-28 |