| NPI | 1811449788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARIE BURNS President 224-806-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002052) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2020-06-25 |