| NPI | 1306085253 |
|---|---|
| Former Name | FULIVIA ELMA BANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS 208894) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 1220) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |