| NPI | 1699254508 |
|---|---|
| Former Name | JENESSA WRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61629901) |
| 101YP2500X Counselor, Professional (Licence: CO 0022209) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2026-03-09 |