| NPI | 1669025300 |
|---|---|
| Former Name | JESSICA NICOLE TRIPPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012850) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-09-12 |