NPI | 1457056723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 374U00000X Home Health Aide |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2023-04-04 |
Last Update Date | 2023-04-14 |