| NPI | 1760079289 |
|---|---|
| Former Name | JAZMIN CUEVAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 150111626) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106S00000X Behavior Technician (Licence: IL RBT-19-104884) | |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2023-10-06 |