| NPI | 1245261585 |
|---|---|
| Former Name | LESLIE ANN JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006180A) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-05-13 |