| NPI | 1437558715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA VANNUCCI Licensed Clinical Psychologist 773-412-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006033) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |