| NPI | 1417273111 |
|---|---|
| Former Name | COSHA ANN BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2020030435) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2019045184) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2020-12-16 |