| NPI | 1659028397 |
|---|---|
| Former Legal Business Name | KERRY RAMIREZ PSYCHOTHERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | KERRY RAMIREZ Owner 312-600-5239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |