NPI | 1396108874 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON DANIEL HACKER Founder 312-925-6330 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009274) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2021-09-08 |