| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician |
| 133NN1002X Nutritionist, Nutrition, Education |
| 133NN1002X Nutritionist, Nutrition, Education |
| 133NN1002X Nutritionist, Nutrition, Education |
| 171400000X Health & Wellness Coach |
| 171M00000X Case Manager/Care Coordinator |
| 171M00000X Case Manager/Care Coordinator |
| 171M00000X Case Manager/Care Coordinator |
| 174H00000X Health Educator |
| 174H00000X Health Educator |
| 174H00000X Health Educator |
| Enumeration Date | 2025-09-20 |
| Last Update Date | 2025-09-20 |