| NPI | 1316460728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA VOGT Psychotherapist 773-466-4527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008745) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |