NPI | 1306342787 |
---|---|
Former Name | JEANETTE O LUCERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: NM c-2702) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NM c-2702) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2018-04-03 |