| NPI | 1174092431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON PORTILLO Speech Language Pathologist 720-878-5338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |