NPI | 1093869133 |
---|---|
Other Name | KIM S FISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004143A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 0800371) |
101YM0800X Counselor, Mental Health (Licence: IN 39000977A) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2011-02-25 |