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 |