NPI | 1700130549 |
---|---|
Other Name | ESPERANZA CHILDREN'S THERAPY |
Entity Type | Organization |
Authorized Contact | CELINA WALLER Clinical Director 575-526-6682 |
Organization Subpart ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5144) |
Enumeration Date | 2012-11-01 |
Last Update Date | 2012-11-01 |