| NPI | 1437395175 |
|---|---|
| Former Name | JANAE KIMBERLY LYONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66495) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 4361) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2010-08-31 |