| NPI | 1740822188 |
|---|---|
| Former Name | MARLA JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP1222-R) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC3394) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |