| NPI | 1558797092 |
|---|---|
| Former Name | SANDRA LORRAINE LISENBY NORFLEET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C008290) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 10576) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2015-04-29 |