| NPI | 1215201918 |
|---|---|
| Former Name | SELMA ELAINE LEWKOWITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO NP990274) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 3654) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2015-05-06 |