NPI | 1982248555 |
---|---|
Former Name | CHELSEA BANKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171W00000X Contractor |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC014521) |
Enumeration Date | 2019-11-06 |
Last Update Date | 2025-02-24 |