| NPI | 1104572437 |
|---|---|
| Former Name | BRENDA ENID VEGA RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-22-204112) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |