| NPI | 1518744945 |
|---|---|
| Former Name | JENNIFER ELIZABETH NEELEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 287614) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-09-27 |