| NPI | 1386751279 |
|---|---|
| Other Name | CRYSTAL LAREE' GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0132034) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 4272) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2021-05-03 |