Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor |
NPI | 1003172263 |
---|---|
Provider Name | Ramona Moore Banks |
First Address | New Orleans, LA 70150-0140 |
Second Address | New Orleans, LA 70113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2012 |
Last Update Date | 27/03/2019 |