| NPI | 1275170193 |
|---|---|
| Former Name | MELANI MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61518950) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG61314557) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2024-12-16 |