| NPI | 1689470700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 172V00000X Community Health Worker | |
| 175F00000X Naturopath | |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-07-21 |