| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator |
| 251C00000X Day Training, Developmentally Disabled Services |
| 372500000X Chore Provider |
| 372600000X Adult Companion |
| 373H00000X Day Training/Habilitation Specialist |
| 3747P1801X Technician, Personal Care Attendant |
| 374U00000X Home Health Aide |
| 376J00000X Homemaker |
| 376K00000X Nurse's Aide |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2023-12-25 |