| NPI | 1982343034 |
|---|---|
| Former Name | ANNA VICTORIA SHOOPMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112496) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM SWB-2022-1037) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2025-11-09 |