| NPI | 1578020046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HERRERA Speech Language Pathologist 575-496-9279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |