NPI | 1184118556 |
---|---|
Former Name | ASHLEY TANIYA BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 14944) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2018-06-27 |