NPI | 1396071205 |
---|---|
Former Name | ANGELA LIJEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301014060) |
Enumeration Date | 2009-10-28 |
Last Update Date | 2019-03-14 |