| NPI | 1629488986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 372500000X Chore Provider | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-08 |