| NPI | 1295371367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATEME TARGOL HASANKHANI Lmft 773-366-4901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2023-12-10 |