| NPI | 1154053320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJA WHITAKER Speech Language Pathologist 505-720-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-07-14 |