| 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 |