| NPI | 1922344597 |
|---|---|
| Other Name | JERMAINE BOSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14258) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4062) |
| Enumeration Date | 2012-12-29 |
| Last Update Date | 2021-06-10 |