| NPI | 1124243381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA EARLEY Speech Language Pathologist 505-243-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 932) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2020-08-22 |