| NPI | 1598086126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RICHARDSON GUTIERREZ Speech Language Pathologist 307-413-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP1143) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2012-07-10 |