NPI | 1083068274 |
---|---|
Former Name | MEGHAN CHRISTINE FITZGERALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004268) |
Enumeration Date | 2016-04-14 |
Last Update Date | 2016-04-14 |