| NPI | 1922764802 |
|---|---|
| Former Name | TESORO LIZETTE AVILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2025-04-15 |