| NPI | 1740805142 |
|---|---|
| Former Name | NICOLE ELIZABETH BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-01-31 |