NPI | 1396771697 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANN DAKOTA CIMO President 773-539-9183 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006748) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2020-08-22 |