| NPI | 1508364126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA T HASAN Owner/ Psychologist 224-500-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009551) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |