| NPI | 1780863142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SMITH Psychotherapist 773-878-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149005455) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2008-01-16 |