| NPI | 1295557585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIA ELISE KOZAK Speech Language Pathologist 716-374-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |