| NPI | 1699312785 | 
|---|---|
| Former Name | JADIE GAIL MCDONALD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: MN 528701)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: NV SP-2653)  | 
| 235Z00000X Speech-Language Pathologist,   (Licence: NV SP-2858)  | |
| Enumeration Date | 2019-12-08 | 
| Last Update Date | 2023-09-17 |