| NPI | 1720714694 |
|---|---|
| Former Name | SHANNON MARIE HOFMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 133511) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2026-03-04 |