| NPI | 1396989513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN ESSE WILSON Speech Language Pathologist 505-410-1461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 4236) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |