| NPI | 1033545793 | 
|---|---|
| Former Name | JESSICA M SPAHR | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 68247) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017789) | 
| Enumeration Date | 2013-09-25 | 
| Last Update Date | 2024-04-06 |