| NPI | 1811355324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON L O'HARA Licensed Clinical Psychologist 224-637-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009243) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |