| NPI | 1962973826 |
|---|---|
| Former Name | JENNY JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60921607) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60898749) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60684897) | |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60791733) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-01-29 |