NPI | 1285968685 |
---|---|
Former Name | JANNELL HART AMRINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63147) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2009-10-01 |
Last Update Date | 2012-08-17 |