Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | I-07479 | NM |
NPI | 1003085499 |
---|---|
Provider Name | Martha Kaser |
First Address | Albuquerque, NM 87102-2706 |
Second Address | Albuquerque, NM 87102-2706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2008 |
Last Update Date | 17/12/2014 |