| NPI | 1497149322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE K GUINTA Licensed Clinical Psychologist 773-888-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009054) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2016-09-05 |