| NPI | 1083950463 |
|---|---|
| Former Name | SHELIA WALKER BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 422) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |