NPI | 1558669333 |
---|---|
Former Name | MEGAN MARIE FITZPATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15056) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 8841) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2021-09-13 |