| NPI | 1932120813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. JANE JONES Administrator 505-393-2257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 6283, 939) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |