| NPI | 1760540512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA LYNN REILLY Managing Member 505-856-0284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 1818) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |