| NPI | 1609239219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH C DWYER Speech And Language Pathologist 505-220-5839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 2694) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |