| NPI | 1104066463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA A DONALDSON CEO 505-720-7537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM FA0085337) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2023-03-06 |