NPI | 1790593465 |
---|---|
Former Name | ANNE ELIZABETH JENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009925783) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LCSW229304) |
Enumeration Date | 2024-12-26 |
Last Update Date | 2024-12-26 |