| NPI | 1417655101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 171WH0202X Contractor, Home Modifications | |
| 372600000X Adult Companion | |
| 374J00000X Doula | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-21 |