NPI | 1417118654 |
---|---|
Other Name | JANIE ELIZABETH CROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2005022038) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010844) |
Enumeration Date | 2008-06-20 |
Last Update Date | 2015-01-05 |