| NPI | 1124414339 |
|---|---|
| Former Name | DENISE RONQUILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0862) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NM 251B00000X) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2023-06-13 |