NPI | 1598942484 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA CAROLINA CASTILLO Clinical Psychologist 312-909-1007 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006546) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-005107) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2018-03-17 |