NPI | 1902278435 |
---|---|
Former Name | BRITNEY NICOLE LUEBBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18094.) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018116) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2022-03-15 |