| NPI | 1750623104 |
|---|---|
| Former Name | CARRIE JAYNE FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2024-08-08 |