| NPI | 1013787928 |
|---|---|
| Former Name | CASSIDY BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.188186) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.183900) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-04-18 |