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 |