| NPI | 1811203797 |
|---|---|
| Former Name | DESIREE ANN JAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2015-07-01 |