| NPI | 1922549849 |
|---|---|
| Former Name | NICOLE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86511) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 69514) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2020-12-16 |