NPI | 1538307061 |
---|---|
Former Name | BEVERLY P. VIRGIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8552) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 3123) |
Enumeration Date | 2009-01-21 |
Last Update Date | 2024-01-25 |