| NPI | 1013546902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NV 890022) |
| Additional Taxonomies | 376J00000X Homemaker |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician | |
| 163WH0200X Registered Nurse, Home Health (Licence: NV 890022) | |
| 163WN0800X Registered Nurse, Neuroscience (Licence: NV 890022) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NV 890022) | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-06-23 |