| NPI | 1831567452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARNIX Clinical Psychologist/Member 312-600-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2023-02-14 |