| NPI | 1124519145 |
|---|---|
| Former Name | MALLORY BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005885) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14700) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-07-28 |