| NPI | 1093381162 |
|---|---|
| Former Name | BILLIE JO JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT BBH-LCPC-LIC-49517) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MT BBH-LCPC-LIC-49517) |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2025-05-28 |