| NPI | 1174890719 |
|---|---|
| Former Name | CRYSTAL MICHELLE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 11-083) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2024-03-20 |