| NPI | 1154892891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA ISAACS Licensed Clinical Psychologist 773-412-7274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |