| NPI | 1609549708 |
|---|---|
| Former Name | JENNIFER LYNNE JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10821) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A5628) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2023-12-19 |