| NPI | 1104557503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON L MOUSAW Owner/Speech Language Pathologist 720-778-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |