| NPI | 1710345954 |
|---|---|
| Former Name | STASIA BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 255944) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010127) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2021-09-16 |