| NPI | 1376159558 |
|---|---|
| Former Name | COLETTE FORTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MT SLP-SP-LIC-12202) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NV SP-2868) |
| 235Z00000X Speech-Language Pathologist (Licence: NM SLP7600) | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2024-05-06 |