| NPI | 1457059180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA S JUERGENS Owner/Mental Health Counselor 716-440-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |