NPI | 1053188797 |
---|---|
Former Name | KARLA J WALLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: 1053188797) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2023-12-04 |
Last Update Date | 2023-12-14 |