| NPI | 1194995027 |
|---|---|
| Former Name | JACLYN PENTECOST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH60603740) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63826) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2023-09-06 |