| NPI | 1881130821 |
|---|---|
| Former Name | JACQUI NEITHAMMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0020303) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2017-01-15 |
| Last Update Date | 2025-02-04 |