| NPI | 1043790660 |
|---|---|
| Professional Name | KARLISSA RENEE WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20983) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2020-05-04 |