| NPI | 1912373259 |
|---|---|
| Former Name | ANDREA FITZGERALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12140) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND2016062) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2017-05-08 |