| NPI | 1205058344 |
|---|---|
| Other Name | HEIDI SHOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-08-09 |