| NPI | 1316429814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTON MARIE LOFGREEN Clinical Psychologist/Owner 773-831-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009227) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2021-12-13 |