NPI | 1609116060 |
---|---|
Former Name | ALLISON GAYLE LOCKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79324) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA 31235) |
Enumeration Date | 2013-02-22 |
Last Update Date | 2018-11-08 |