| NPI | 1407897416 |
|---|---|
| Former Name | NANCY GROVEENE SHOECRAFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL FLSW4966) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW4966) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-03-24 |