| NPI | 1326353640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH COLEMAN Clinical Psychologist 773-501-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KS 1788) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |