| NPI | 1437615564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM C-12090) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM C-12090) |
| 171400000X Health & Wellness Coach | |
| 332U00000X Home Delivered Meals | |
| 373H00000X Day Training/Habilitation Specialist | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-12-04 |