| NPI | 1154179372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 176P00000X Funeral Director | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |