| NPI | 1952046575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYCHEL HOSCH Owner/Authorized Official 505-426-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-05-27 |