| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional |
| 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician |
| 133NN1002X Nutritionist, Nutrition, Education |
| 171M00000X Case Manager/Care Coordinator |
| 174400000X Specialist |
| 1744R1102X Specialist, Research Study |
| 174H00000X Health Educator |
| 251B00000X Case Management |
| 251K00000X Public Health or Welfare |
| 253Z00000X In Home Supportive Care |
| 261Q00000X Clinic/Center |
| 344600000X Taxi |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |