| NPI | 1881216109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARTIN Owner, Clinical Psychologist 773-571-9127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |