| NPI | 1578695128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURIE POHL President 505-839-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 300) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |