| NPI | 1811488620 |
|---|---|
| Former Name | CHARISE ANNETTE TEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-18-59643) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2020-12-15 |