| NPI | 1174808380 | 
|---|---|
| Former Name | JODIE T FISHER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54043)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 54043)  | 
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-10-19 | 
| Last Update Date | 2025-05-27 |