| NPI | 1750550646 |
|---|---|
| Former Name | NICOLE MARIE MONTAGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AK 270) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist (Licence: CA 52743) | |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist (Licence: CA 62465) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2019-05-08 |