| NPI | 1033546809 |
|---|---|
| Former Name | JESENIA MARIE RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2020-06-09 |