| 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 |