| NPI | 1437860343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY WELLS Owner/Psychologist 312-868-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |