| NPI | 1124643838 |
|---|---|
| Former Name | JAZMIN GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-02-14 |