| NPI | 1548671233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN GOLDSTEIN Psychotherapist 773-307-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.009175) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |