| NPI | 1770118028 |
|---|---|
| Former Name | LAURA POPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26312) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA3275) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200003320) | |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2024-05-03 |