| NPI | 1710365127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA RENTERIA Owner 773-580-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071007292) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |