| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
|
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP1600X Counselor Pastoral |
| 103K00000X Behavior Analyst |
| 133NN1002X Nutritionist Nutrition, Education |
| 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker |
| 174400000X Specialist |
| 174H00000X Health Educator |
| 175F00000X Naturopath |
| 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner |
| 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner |
| 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner |
| 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner |
| 225CA2500X Rehabilitation Counselor Assistive Technology Supplier |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2012-11-02 |