| NPI | 1902642333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Additional Taxonomies | 104100000X Social Worker |
| 171R00000X Interpreter | |
| 171W00000X Contractor | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747A0650X Technician Attendant Care Provider | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2024-07-04 |