| NPI | 1487170007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNITHA RACHEL CHANDY Owner 773-980-9679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008056) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-07-19 |