NPI | 1760266423 |
---|---|
Entity Type | Organization |
Authorized Contact | MORGAN ANNE LASLEY Owner 773-573-0884 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2023-08-23 |
Last Update Date | 2023-08-28 |