| NPI | 1790968873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL PETRICH President 708-524-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006029) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2014-08-11 |