| NPI | 1891065561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA REID President 708-478-2372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: IL 071005245) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2015-05-06 |