NPI | 1154951358 |
---|---|
Former Name | COURTNEY ELISE BUTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 123493) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
101YM0800X Counselor, Mental Health (Licence: CA ASW94018) | |
Enumeration Date | 2020-01-16 |
Last Update Date | 2024-07-31 |