| NPI | 1295580686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISHAWN SONTIA FINISTER Authorized Official 716-380-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |