NPI | 1699254508 |
---|---|
Former Name | JENESSA WRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80009) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0022209) |
Enumeration Date | 2018-08-10 |
Last Update Date | 2025-09-08 |