NPI | 1568874741 |
---|---|
Former Name | JENI T OLSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 36218) |
Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW32110) |
Enumeration Date | 2014-05-22 |
Last Update Date | 2024-03-06 |