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 |