| NPI | 1134652662 |
|---|---|
| Former Name | JENNIFER AMANDA NIELSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: L12224) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2025-01-22 |