| NPI | 1962954248 |
|---|---|
| Former Name | KIRSTEN ANNIKA LUCERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-11823) |
| Additional Taxonomies | 101Y00000X Counselor |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2021-08-09 |