| NPI | 1114112109 |
|---|---|
| Former Name | PAULA MARIE BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1613) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 00505) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2010-06-10 |