NPI | 1962951327 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER STEIN Clinical Psychologist 847-385-3138 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007074) |
Enumeration Date | 2016-09-27 |
Last Update Date | 2021-11-12 |