NPI | 1346636032 |
---|---|
Former Name | JODI E SPANGENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW131707) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05728500) |
Enumeration Date | 2015-04-09 |
Last Update Date | 2022-08-09 |