NPI | 1255034518 |
---|---|
Former Name | CALLIE MARIE CRAWFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 42189) |
Enumeration Date | 2023-03-24 |
Last Update Date | 2023-03-24 |