| NPI | 1104422302 |
|---|---|
| Former Name | JESSICA MONTANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: M-11870) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM X-11743) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2024-06-25 |