NPI | 1558592931 |
---|---|
Former Name | ELIZABETH ANN BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 3533C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AL 2135G) |
Enumeration Date | 2009-08-03 |
Last Update Date | 2017-03-23 |