| NPI | 1497904429 | 
|---|---|
| Former Name | LISA BOBROW | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080275)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0777391)  | 
| Enumeration Date | 2008-09-15 | 
| Last Update Date | 2020-02-18 |