| NPI | 1790133031 |
|---|---|
| Other Name | DESIREE BANSILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW2156) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2018-10-30 |