NPI | 1902134778 |
---|---|
Entity Type | Organization |
Authorized Contact | PRUDENCE L GOURGUECHON President 773-878-8082 |
Organization Subpart ? | No |
Primary Taxonomy | 102L00000X Psychoanalyst (Licence: IL 036062459) |
Enumeration Date | 2009-12-06 |
Last Update Date | 2009-12-06 |