| NPI | 1962801290 |
|---|---|
| Former Name | AMBER SAMANTHA MATHEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A12114) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60501010) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2016-08-08 |