| NPI | 1942682919 |
|---|---|
| Former Name | CRYSTAL JEFFERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 124313) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP6046) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2019-01-07 |