NPI | 1801416532 |
---|---|
Former Name | MELISSA ALMA POPPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG61018971) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61018971) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: WA 61018971) | |
Enumeration Date | 2020-04-22 |
Last Update Date | 2024-04-30 |