| NPI | 1598189086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA M WILDER Owner/ Speech Language Path 303-818-0508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 12119008) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |