NPI | 1700107919 |
---|---|
Former Name | ASHLEI M SPARKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09926039) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-08487) |
1041S0200X Social Worker, School (Licence: NM X-08211) | |
Enumeration Date | 2010-06-22 |
Last Update Date | 2023-12-27 |