| NPI | 1164088852 |
|---|---|
| Former Name | SAFIYA TELESFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC01218900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 017052) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2026-07-23 |