| NPI | 1902634066 |
|---|---|
| Former Name | PHEBE ROSEANN CRANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015696) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019026086) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-08-07 |