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 |