NPI | 1538762265 |
---|---|
Former Name | MELANI IRENE BAKER, BAKER-MOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6362009521) |
Additional Taxonomies | 106S00000X Behavior Technician |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 6362009521) | |
Enumeration Date | 2020-11-17 |
Last Update Date | 2024-07-17 |