| NPI | 1619490422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103K00000X Behavior Analyst | |
| 170300000X Genetic Counselor, MS | |
| 171R00000X Interpreter | |
| 172A00000X Driver | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-07-21 |