| NPI | 1811515919 |
|---|---|
| Former Name | JENNIFER LYNN MONTIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci43300624) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2024-12-09 |