| NPI | 1013256312 |
|---|---|
| Former Name | AMY G GUTHRIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36123) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36123) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 36123) | |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2018-01-24 |