| NPI | 1154538056 |
|---|---|
| Former Name | MICHELLE BUTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115426) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-10-20 |