| NPI | 1063883395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L BAKER President / Owner 708-925-4523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.00142) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2016-08-25 |