| NPI | 1487055109 |
|---|---|
| Former Name | TRISTA MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA SLP.LL.60594550) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SLPI.SI.60504905) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2025-12-10 |