| NPI | 1083103758 |
|---|---|
| Former Name | ANGELIQUE BAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NM SWB-2022-1167) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2023-02-22 |