Individual
SITA OM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
9716 NE 134TH ST, VANCOUVER, WA 98662-2523
(360) 885-5250
Mailing address
6811 NE 121ST AVE APT H68, VANCOUVER, WA 98682-5578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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