| NPI | 1710479845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ANN BYNUM Owner/Clinical Psychologist 773-301-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD 05089) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2019-04-25 |