| NPI | 1841049673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN DSOUZA Speech Language Pathologist 716-860-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |