| NPI | 1376407924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIHA JALLOUQA Licensed Clinical Psychologist 708-329-8685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-12-09 |
| Last Update Date | 2025-12-15 |