NPI | 1518458181 |
---|---|
Former Name | KERRY SCHUTTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2018-05-19 |
Last Update Date | 2023-06-17 |