| NPI | 1154053320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJA ERIKA MURRAY Speech Language Pathologist 505-595-7104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2025-08-11 |