| NPI | 1902382351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL KANNANKERIL Owner/Psychologist 312-834-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008430) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |