| NPI | 1598148256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYNA GOLDSTEIN Marriager And Family Therapist 773-590-2670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |