| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
|
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral |
| 103K00000X Behavior Analyst |
| 103TF0000X Psychologist, Family |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 104100000X Social Worker |
| 171000000X Military Health Care Provider |
| 171M00000X Case Manager/Care Coordinator |
| 172A00000X Driver |
| 174N00000X Lactation Consultant, Non-RN |
| 221700000X Art Therapist |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |