| NPI | 1689820201 |
|---|---|
| Former Name | CRYSTAL EMMALINE CHRISTOPHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011207) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3115154) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2014-11-04 |