| NPI | 1467634972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE CLARK President 773-430-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006752) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2024-05-03 |