NPI | 1497901060 |
---|---|
Former Name | SHELLY R HOCKING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT 836) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MT LAC 1196) |
Enumeration Date | 2008-08-14 |
Last Update Date | 2024-01-04 |