NPI | 1043863244 |
---|---|
Other Name | REY LOCKWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 112814) |
Enumeration Date | 2019-07-17 |
Last Update Date | 2021-03-03 |