| NPI | 1497106892 |
|---|---|
| Former Name | JESSIE LEE CRONK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11341) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 24240) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2020-12-30 |