| NPI | 1831677517 |
|---|---|
| Former Name | KRISTA BANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 11557-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34008096A) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2024-10-30 |