| NPI | 1386192177 |
|---|---|
| Former Name | JENNIFER K ANDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0006727) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.009836) | |
| 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005907) | |
| 103T00000X Psychologist (Licence: AZ PSY-005907) | |
| 103T00000X Psychologist (Licence: IL 071.009836) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2026-08-05 |