| NPI | 1841798642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA L REYNOLDS President 312-620-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009652) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |