| NPI | 1699062539 |
|---|---|
| Former Name | JESSICA RENEE DEARINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79871) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2022-07-07 |