| NPI | 1558423434 |
|---|---|
| Former Name | AMY MARIE WALTHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA LH00003531) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |