| NPI | 1477853695 |
|---|---|
| Former Name | JENNIFER LYNN REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NH 061577-21) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2021-04-01 |