| NPI | 1497839286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA JEAN SCHOENLEBER Ma Ccc Slp 505-751-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM l4171) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |