| NPI | 1821205733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA V ANDERSON Clinical Psychologist 773-771-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 71007182) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-09-25 |