| NPI | 1992696157 |
|---|---|
| Former Name | KELLEE WALKER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |