| NPI | 1720323207 |
|---|---|
| Former Name | LAUREEN J JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC0002731) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL003038L) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2013-06-19 |