| NPI | 1942899356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SCHNIBBEN Clinical Psychologist 773-401-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2022-10-24 |