| NPI | 1396111639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LITTS Executive Director 505-247-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5812) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |