| NPI | 1336210764 |
|---|---|
| Former Name | MICHELLE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 4816-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 740-226) |
| 101YP2500X Counselor Professional (Licence: 4816-125) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-06-17 |