| NPI | 1619200490 |
|---|---|
| Former Name | STEPHANIE M LOCKHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015044120) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149013694) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2022-02-09 |