| NPI | 1578839700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MARY BOHO Clinical Director 773-282-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071004665) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |