| NPI | 1033567706 |
|---|---|
| Former Name | MELISSA ANN MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 22256) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2024-09-11 |