| NPI | 1598476061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501016017) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 106S00000X Behavior Technician | |
| 172A00000X Driver | |
| 372600000X Adult Companion | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2024-01-08 |