NPI | 1700331113 |
---|---|
Former Name | JULIA ELENA VALLEJO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-23-67265) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2016-08-16 |
Last Update Date | 2023-12-29 |