NPI | 1366061624 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDRA ISAACS Owner 773-412-7274 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103T00000X Psychologist | |
101Y00000X Counselor | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2020-04-15 |
Last Update Date | 2020-04-15 |