| NPI | 1043921786 |
|---|---|
| Former Name | MICHAELA PENROD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: UT RBT-25-485094) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 171M00000X Case Manager/Care Coordinator | |
| 106S00000X Behavior Technician (Licence: UT RBT-22-241335) | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2026-03-17 |