| NPI | 1346558848 |
|---|---|
| Former Name | AMY SUSAN LEWANDOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WA Y60145305) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2013-09-04 |