NPI | 1194297333 |
---|---|
Former Name | CHRISTINE IRIE COUTURIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 24671) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 77071-SP-SL) |
Enumeration Date | 2018-12-28 |
Last Update Date | 2021-06-11 |