| NPI | 1013785369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNA URIOSTE Speech Language Pathologist 970-579-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |