NPI | 1548878358 |
---|---|
Former Name | DANIELLE BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11004) |
Additional Taxonomies | 104100000X Social Worker (Licence: OR A5655) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2020-07-17 |
Last Update Date | 2022-05-31 |