| NPI | 1326861907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA COOK Practice Owner/Sole Therapy Provider 312-561-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |