| NPI | 1558629139 |
|---|---|
| Former Name | LIBBY WILBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 9676) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1319) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2016-04-20 |