| NPI | 1720970163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 103K00000X Behavior Analyst | |
| 146D00000X Personal Emergency Response Attendant | |
| 174200000X Meals | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |