| NPI | 1316370323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 372500000X Chore Provider |
| 251E00000X Home Health | |
| 372600000X Adult Companion | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-03-25 |