| NPI | 1699977116 |
|---|---|
| Former Name | JENNIFER BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2006026670) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2006026670) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2022-03-28 |