Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | PRC14701 | DC |
Y | 101YP2500X | Professional Counselor | PRC14701 | DC |
NPI | 1003285792 |
---|---|
Provider Name | Giovanna Ysabela Dilauro |
First Address | Washington, DC 20006-1602 |
Second Address | Washington, DC 20010-2425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2015 |
Last Update Date | 01/03/2017 |