| NPI | 1467042580 |
|---|---|
| Former Name | JENNIFER LENTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AZ RN165652) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |