| NPI | 1134641764 |
|---|---|
| Former Name | JAZMIN SPEAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 0890135005) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-11-28 |