| NPI | 1588915110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: WA HMCC.HM.61634329) |
| 172V00000X Community Health Worker (Licence: OR 116032) | |
| 372600000X Adult Companion (Licence: WA HMCC.HM.61634329) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2012-09-22 |
| Last Update Date | 2026-03-18 |