| NPI | 1801551049 |
|---|---|
| Former Name | JACLYN SPITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09928433) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2023-05-24 |