| NPI | 1215226907 |
|---|---|
| Other Name | JESSICA LYNN SPARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116849) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2012-07-11 |