| NPI | 1194151662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONETA GILGER Owner 720-295-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MD 14037153) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2015-11-19 |