NPI | 1497429195 |
---|---|
Former Name | MARLEE BUTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015258) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC015258) |
Enumeration Date | 2021-08-05 |
Last Update Date | 2024-11-11 |