| NPI | 1427431279 |
|---|---|
| Former Name | KATELYN ANN TERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ND 609P) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP6215) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2022-03-28 |