| NPI | 1336596931 |
|---|---|
| Former Name | KENDRA BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006876) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 8033-M) |
| 1041C0700X Social Worker, Clinical (Licence: AR 8033-C) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-01-31 |