| NPI | 1982802518 |
|---|---|
| Former Name | JEANNE ANN LYONS SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 1260) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NM 241066) |
| 106H00000X Marriage & Family Therapist (Licence: CA 16446) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-08 |