| NPI | 1265601835 |
|---|---|
| Former Name | CRYSTAL C DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10757) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005104) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2019-10-11 |