| NPI | 1477358729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 376J00000X Homemaker |
| 172A00000X Driver | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-05-22 |