Tilda Kimura Bulanon-Chavez Valid NPI

Individual provider · Clinical Social Worker · Albuquerque, NM

NPI

1699788802

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

I-4196 (NM)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-08-15

Last updated

2007-07-08