| NPI | 1760881221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN M. CONWAY Clinical Psychologist 773-507-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |