| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator |
| 225C00000X Rehabilitation Counselor |
| 251B00000X Case Management |
| 251E00000X Home Health |
| 253Z00000X In Home Supportive Care |
| 251G00000X Hospice Care, Community Based |
| 251S00000X Community/Behavioral Health |
| 374U00000X Home Health Aide |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |