NPI | 1659662013 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE BRENNAN MALEC Owner/Founder 773-935-9332 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008125) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000780) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2011-04-20 |