| NPI | 1154507614 |
|---|---|
| Former Name | JENNIFER L JOHNSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 959) |
| 1041C0700X Social Worker Clinical (Licence: NE 1355) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2025-08-29 |