NPI | 1962158212 |
---|---|
Other Name | SHUNTA' MONTGOMERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85059) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 85059) |
Enumeration Date | 2022-02-24 |
Last Update Date | 2023-03-29 |