| NPI | 1043650724 |
|---|---|
| Former Name | EBONY M BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171W00000X Contractor |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2023-03-11 |