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 |