| NPI | 1669135307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN K. EMERY Licensed Clinical Psychologist 312-925-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |