NPI | 1063782175 |
---|---|
Former Name | DAWN LYNN JENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA B6841959) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2012-01-05 |
Last Update Date | 2019-04-06 |