| NPI | 1487898284 |
|---|---|
| Former Name | ANGELA JO JAYNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL ALC01278) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2023-03-22 |