| NPI | 1477609287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PENICK Vice President 505-238-6106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM mulitple licenses) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |