| 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 |