| NPI | 1538836051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY M VIGIL-MARTINEZ Co Owner, Slp Provider 505-927-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-09-21 |