| NPI | 1083498166 |
|---|---|
| Former Legal Business Name | JIL W. JENSEN |
| Entity Type | Organization |
| Authorized Contact | JIL WHITTLE JENSEN Licensed Clinical Social Worker 240-475-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |