| NPI | 1255567194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY RICKS Sole Proprietor 303-330-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 12091959) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |