| NPI | 1295964088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YP1600X Counselor Pastoral | |
| 101Y00000X Counselor | |
| 225700000X Massage Therapist | |
| 171100000X Acupuncturist | |
| 172A00000X Driver | |
| 372600000X Adult Companion | |
| 372500000X Chore Provider | |
| 374K00000X Religious Nonmedical Practitioner | |
| 171R00000X Interpreter | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2012-01-20 |