| NPI | 1649742065 |
|---|---|
| Former Name | PATRICIA MARIE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WY CAP183) |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2025-08-05 |