| 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 |