| NPI | 1235605437 |
|---|---|
| Former Name | HEATHER LOCKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4040-226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7658-125) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2020-03-25 |