| NPI | 1891685152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 175T00000X Peer Specialist | |
| 225800000X Recreation Therapist | |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 372600000X Adult Companion | |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |