| NPI | 1134980733 |
|---|---|
| Former Name | ASHLEY BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851117674) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |