| NPI | 1134814668 |
|---|---|
| Other Name | JESSE GODOY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-27 |