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 |