| NPI | 1700257581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDI-MARIE WILLOUGHBY Clinical Psychologist 773-814-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008303) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2024-04-15 |