| NPI | 1043791270 |
|---|---|
| Former Name | ABIGAIL SUSANNE JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR L11038) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2022-10-13 |