| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 225800000X Recreation Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician |
| 174400000X Specialist |
| 222Q00000X Developmental Therapist |
| 225400000X Rehabilitation Practitioner |
| 2255A2300X Specialist/Technologist, Athletic Trainer |
| 225C00000X Rehabilitation Counselor |
| 225XN1300X Occupational Therapist, Neurorehabilitation |
| 226000000X Recreational Therapist Assistant |
| 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X |
| 385H00000X Respite Care |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |