| NPI | 1649604414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ERIC HINZMAN Owner/Operator 505-264-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 3747) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |