| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
|
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional |
| 101YS0200X Counselor School |
| 102X00000X Poetry Therapist |
| 103K00000X Behavior Analyst |
| 103T00000X Psychologist |
| 103TC2200X Psychologist Clinical Child & Adolescent |
| 103TP2701X Psychologist Group Psychotherapy |
| 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician |
| 172V00000X Community Health Worker |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |