NPI | 1093409088 |
---|---|
Former Name | HAVEN BROOKE CRAWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 8286) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011305) |
Enumeration Date | 2023-06-05 |
Last Update Date | 2024-03-21 |