| NPI | 1740924521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GOODWIN Licensed Professional Counselor 585-233-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-09-06 |