| NPI | 1396034724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA B FOX Psychotherapist 312-972-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007685) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |