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 |