NPI | 1295188415 |
---|---|
Former Name | SARAH J LOCKENMEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSB94026537) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PSB94026537) | |
Enumeration Date | 2016-07-22 |
Last Update Date | 2023-07-20 |