NPI | 1932762044 |
---|---|
Former Name | TERI DEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022593) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022593) |
Enumeration Date | 2019-04-16 |
Last Update Date | 2022-01-25 |