| NPI | 1851761365 |
|---|---|
| Other Name | CINDY CATHERINE GRASS BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003234A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.004331) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |