| NPI | 1154676427 |
|---|---|
| Former Name | HEATHER YEGHNAZAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 022566-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2020-10-08 |