| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 372500000X Chore Provider |
| 372600000X Adult Companion |
| 373H00000X Day Training/Habilitation Specialist |
| 3747P1801X Technician, Personal Care Attendant |
| 376J00000X Homemaker |
| 385H00000X Respite Care |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |