NPI | 1801242094 |
---|---|
Former Name | ZULLY GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP5972) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111308) |
Enumeration Date | 2016-05-06 |
Last Update Date | 2019-09-24 |