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 |