| 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 |