| NPI | 1386192177 |
|---|---|
| Former Name | JENNIFER K ANDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009836) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2018-08-23 |