NPI | 1376202804 |
---|---|
Entity Type | Organization |
Authorized Contact | SOFIA CARLEEN JIMENEZ Clinical Psychologist/Sole Member 773-946-0993 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2021-12-13 |
Last Update Date | 2021-12-13 |