| NPI | 1538517248 |
|---|---|
| Former Name | KIMBERLEE ALLEN LOCKWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 11700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2020-06-16 |