| NPI | 1912285834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA VANNUCCI Licensed Clinical Psychologist 773-412-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006033) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071006395) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149011430) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |