| NPI | 1063945905 |
|---|---|
| Former Name | AMY FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1701597) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.140934) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-10-18 |