| NPI | 1508389222 |
|---|---|
| Former Name | MIRIAM LEDERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW130422) |
| Additional Taxonomies | 251S00000X (Licence: PA BH000405) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |