| NPI | 1629557145 |
|---|---|
| Other Name | KAITLIN DENISE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY004209) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |