| NPI | 1750789574 |
|---|---|
| Former Name | AMBER BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003218A) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2022-12-12 |