| NPI | 1770125486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER S SMITH Speech Language Pathologist 505-228-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-19 |