| NPI | 1881375947 |
|---|---|
| Former Name | ELISSA LEIGH FARRAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 6825) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 1463213) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-12-02 |