| NPI | 1467259028 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist | 
| Additional Taxonomies | 372600000X Adult Companion | 
| 3747P1801X Technician, Personal Care Attendant | |
| 372500000X Chore Provider | |
| Enumeration Date | 2025-02-28 | 
| Last Update Date | 2025-03-11 |