| NPI | 1376433102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |