NPI | 1487786513 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON K THIEL Speech Pathologist, Co Owner 505-401-6485 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NM 315) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2020-08-22 |