| NPI | 1245355676 |
|---|---|
| Other Name | THIA LORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 112120) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI ISW01094) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |