| NPI | 1912309188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH VANWINKLE Owner 719-377-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 14094446) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |