| NPI | 1154708824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE UNDERHILL Owner 970-685-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0577) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2021-07-27 |