| NPI | 1528361870 |
|---|---|
| Former Name | PATRICIA ANN BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401012272) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401012272) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2022-08-05 |