| NPI | 1679113732 |
|---|---|
| Former Name | JACQUELINE JARAMILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13584) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2024-10-17 |