NPI | 1548575038 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISHA J ROMERO-MOORE Owner 505-463-1874 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5495) |
Enumeration Date | 2010-08-09 |
Last Update Date | 2017-03-06 |