| NPI | 1457610750 |
|---|---|
| Former Name | HEATHER HILDA KOPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5003-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15625132) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2023-12-04 |