NPI | 1730201971 |
---|---|
Entity Type | Organization |
Authorized Contact | RITU DEVENDRA TRIVEDI-PUROHIT Licensed Clinical Psychologist 847-296-3484 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007121) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-08-22 |