| NPI | 1013678812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE SWANSON Licensed Clinical Social Worker 716-627-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |