| NPI | 1891212882 |
|---|---|
| Former Name | JESSICA JEANNE ELIZABETH SPOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11330) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NM 25076) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CAD0224842) | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2025-09-23 |