| NPI | 1225818727 |
|---|---|
| Other Name | AUDREY ROSE DIMICELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-23-289198) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-11-16 |