| NPI | 1043921786 |
|---|---|
| Former Name | MICHAELA PENROD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT RBT-22-241335) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2024-09-19 |