NPI | 1619664513 |
---|---|
Former Name | ZYTELDAR GARZON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18933) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 111221) |
Enumeration Date | 2023-04-20 |
Last Update Date | 2024-11-01 |