| NPI | 1417389511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: AK 978570) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2020-07-14 |