| NPI | 1588343339 |
|---|---|
| Former Name | JESSICA YVONNE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-09-27 |