| NPI | 1528753811 |
|---|---|
| Former Name | AMY JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0135011) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 098155) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2024-08-06 |