| NPI | 1114898947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA MARTINEZ Speech Language Pathologist 505-605-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |