| NPI | 1417162405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA ROBINSON Owner 505-720-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 2349) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |