NPI | 1033622691 |
---|---|
Former Name | JILL ALANE POPPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH s1451150) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH s1451150) |
104100000X Social Worker (Licence: OH S1451150) | |
Enumeration Date | 2017-11-06 |
Last Update Date | 2024-10-10 |