| NPI | 1083428379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 171M00000X Case Manager/Care Coordinator | |
| 342000000X Transportation Network Company | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |