| NPI | 1336779818 |
|---|---|
| Former Name | NICOLE BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2405750) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2001258-TRNE) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2024-08-20 |