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 |