| NPI | 1992987754 |
|---|---|
| Former Name | BETHANY BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5807) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2014-04-21 |