| NPI | 1790577518 |
|---|---|
| Former Name | CAITLYN MARIE WALLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |