| NPI | 1346609427 |
|---|---|
| Former Name | JESSICA REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1100476-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1100476) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2020-05-06 |