| NPI | 1295264448 |
|---|---|
| Former Name | STACY BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401016096) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401016096) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006741) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2023-11-29 |