| NPI | 1407146376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEETHA MUNISAMY Director 312-961-1557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008111) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |