| NPI | 1396877692 |
|---|---|
| Former Name | MANDY J BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 5826) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5826) |
| 103T00000X Psychologist | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2016-04-04 |