| NPI | 1992720767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA V MONTOYA Speech Language Pathologist 505-604-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NM 573) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-23 |