| NPI | 1821427352 |
|---|---|
| Former Name | KRISTINA MARIE BUTLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2016-03-31 |