| NPI | 1447865126 |
|---|---|
| Former Name | JENNIFER RENEE MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95085051) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |