| NPI | 1982109484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE VON OHLEN Owner 716-598-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7268) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-06-12 |