| NPI | 1467617324 |
|---|---|
| Former Name | WILLIAM ANDREW WALTHER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2019-10-01 |