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 |