| NPI | 1427791763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIANA ALEXIS LOPEZ Speech Language Pathologist 575-689-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |