| NPI | 1437672821 |
|---|---|
| Former Name | STEPHANIE SHAYLEEN JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN 11456) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-09-06 |