| NPI | 1720389885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 374J00000X Doula | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |