NPI | 1841686300 |
---|---|
Former Name | SUSAN ANN TANORI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AK 1-15-18723) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: 1-15-18273) |
103K00000X Behavior Analyst (Licence: AK 9) | |
Enumeration Date | 2015-04-11 |
Last Update Date | 2022-08-04 |