| NPI | 1679801112 |
|---|---|
| Former Name | CARRIE LOUISE LOCKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13286) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC4688) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2020-02-18 |