| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
|
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional |
| 103K00000X Behavior Analyst |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| 1041C0700X Social Worker Clinical |
| 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator |
| 224ZE0001X Occupational Therapy Assistant Environmental Modification |
| 225100000X Physical Therapist |
| 225C00000X Rehabilitation Counselor |
| 374U00000X Home Health Aide |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |