| NPI | 1326423757 |
|---|---|
| Former Name | KRISTEN ELIZABETH AVILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60609847) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2019-07-02 |