| NPI | 1538697073 |
|---|---|
| Other Name | GRACE JOHANNA MONTES VERGARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00556100) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00556100) |
| 101YP2500X Counselor, Professional (Licence: NJ 37pc00556100) | |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2021-04-03 |