| NPI | 1225901234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY DOMENICO Owner/Licensed Psychologist 773-245-6358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |