| NPI | 1225197684 |
|---|---|
| Former Name | MARCELLE IDETTE BANKS-BLAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA sw125167) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016320) |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001254) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2017-10-11 |