| NPI | 1033006515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 104100000X Social Worker |
| 372600000X Adult Companion | |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-23 |