| NPI | 1932734548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEESHAWNA BROOKS Clinical Psychologist/Owner 312-772-3678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TH0100X Psychologist Health Service |
| 103TS0200X Psychologist School | |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |