| NPI | 1508482647 |
|---|---|
| Former Name | CRISTIN M MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12499-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 132897-121) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2025-08-11 |