| NPI | 1891377321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY AZZINARO Owner/Clinical Social Worker 716-440-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |