NPI | 1912339946 |
---|---|
Former Name | SHAWNA LYNNE HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008494) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-08-01 |
Last Update Date | 2022-09-15 |