| 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 |