| NPI | 1932253614 |
|---|---|
| Former Name | SHARI KATHLEEN LOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 3520) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY28221) |
| 103T00000X Psychologist (Licence: TN 3520) | |
| 103T00000X Psychologist (Licence: TX 31760) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2022-03-23 |