| NPI | 1881751337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SISNEROS BROW Speech Language Pathologist 505-797-1952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 277) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |