NPI | 1124504329 |
---|---|
Former Name | COURTNEY LIN BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009921699) |
Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009921699) |
Enumeration Date | 2018-07-11 |
Last Update Date | 2021-07-30 |