NPI | 1396880548 |
---|---|
Former Name | MICHELLE B. LUEBCKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE LIMHP#879) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 2930) |
101YP2500X Counselor Professional (Licence: NE 1522) | |
101YM0800X Counselor Mental Health (Licence: NE LMHP#2930) | |
101YP2500X Counselor Professional (Licence: NE LPC#1522) | |
Enumeration Date | 2007-02-21 |
Last Update Date | 2012-04-27 |