| NPI | 1689241317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA BURRELL-SMITH Licensed Clinical Psychologist 312-622-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-11-20 |