| NPI | 1245965367 |
|---|---|
| Former Name | JENNIFER MARIE SPEARS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109923) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health (Licence: CA 109923) | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2024-05-22 |