| NPI | 1962631010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISELA HUERTA Visiting Staff Psychologist 312-413-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007706) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |