| NPI | 1962637637 |
|---|---|
| Former Name | TARA EDMONSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 363) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 841964) |
| Enumeration Date | 2009-05-23 |
| Last Update Date | 2020-02-05 |