| NPI | 1861650558 |
|---|---|
| Former Name | LAURA JEANETTE FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4028) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 7087) |
| 1041C0700X Social Worker Clinical (Licence: OR 6055) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2020-04-18 |