| NPI | 1649799776 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JENNIFER LYNN AMOS Speech Language Pathologist 505-974-0137  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: NM C-6271)  | 
| Enumeration Date | 2017-09-09 | 
| Last Update Date | 2018-06-20 |