| NPI | 1306210489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANE BLANCO-OILAR Owner 312-261-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9364) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2016-03-28 |