| NPI | 1356580492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CAMPBELL Owner 575-626-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 2174) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2010-01-20 |