| NPI | 1013706167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORNA BUSCH Psychologist 585-204-7968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |