| NPI | 1356574024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN MCVEY Priniciple 132-669-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007716) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2015-11-04 |