| NPI | 1346852076 |
|---|---|
| Former Name | JENNIFER NICOLE TIMMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 127156) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 000226879) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2023-11-01 |