| NPI | 1104281922 |
|---|---|
| Former Name | KARLA FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2016033333) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2014029522) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2022-07-26 |