NPI | 1306160353 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER K. MOWERY Owner 505-480-6926 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5204) |
Enumeration Date | 2010-03-19 |
Last Update Date | 2010-03-19 |