| NPI | 1881456820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |