| NPI | 1033723705 |
|---|---|
| Former Name | ANNA ELAINE JACOBSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P014505) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P014505) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |