| NPI | 1063976868 |
|---|---|
| Former Name | HEATHER MICHELLE BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007622) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14676) |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |