| NPI | 1043997596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE J FRAIZE Owner, Therapist, Supervisor 716-202-8428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 224Y00000X Clinical Exercise Physiologist | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |