| NPI | 1972733723 |
|---|---|
| Other Name | EBONI TIANA BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 34589) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 62492) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2017-06-13 |