| NPI | 1861692741 |
|---|---|
| Former Name | JENNIFER ANNE LAURSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22513) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2024-11-13 |