| NPI | 1457789281 |
|---|---|
| Former Name | CHASITY RENEE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1686) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 9103-A) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2020-12-08 |