| NPI | 1376577957 |
|---|---|
| Former Name | JAIME MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 51074) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 5104) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-09-27 |