NPI | 1265074348 |
---|---|
Other Name | MYNDI BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO CSW0992882) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO Lsw.0009922716) |
Enumeration Date | 2019-10-10 |
Last Update Date | 2023-01-11 |