| NPI | 1083185318 |
|---|---|
| Former Name | ALEXIS JANENE BANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA VAXJCUYQETMGSWIN) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1334020119) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-12-22 |