| NPI | 1306126602 |
|---|---|
| Former Name | MICHELLE BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0701206) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0701206) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2024-11-08 |