| NPI | 1679832216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BAUTISTA Clinical Psychologist/Owner 312-909-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007551) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-11-19 |