| NPI | 1255115499 |
|---|---|
| Former Name | ELIZABETH KAYLA DONALDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10802) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016941) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |