| NPI | 1497628333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GUDALAUPE BRUNO Owner/Clinical Psychologist 224-999-3526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-09-26 |