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 |