| NPI | 1689140667 |
|---|---|
| Former Name | BETHANY CALDERON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM SWB-2025-0071) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM SWB-2022-1038) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2025-01-28 |