| NPI | 1639619638 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LISA L FUECHTMANN Owner/Therapist 773-656-3484  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009305)  | 
| Enumeration Date | 2017-02-24 | 
| Last Update Date | 2017-02-24 |