| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
|
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional |
| 101YS0200X Counselor, School |
| 102L00000X Psychoanalyst |
| 103K00000X Behavior Analyst |
| 103T00000X Psychologist |
| 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical |
| 1041S0200X Social Worker, School |
| 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2017-03-16 |