NPI | 1629630637 |
---|---|
Other Name | LUKE MONTGOMERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WV 2900) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-07-01 |
Last Update Date | 2024-05-17 |