| NPI | 1821437005 |
|---|---|
| Former Name | STEPHANIE LAUREN BUTCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW007096) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C011264) |
| 1041C0700X Social Worker Clinical (Licence: SC SW13366CP) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2022-03-31 |