| NPI | 1154970291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RANKIN Owner 773-669-4716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 1041C0700X Social Worker Clinical | |
| 103TH0004X Psychologist Health | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |