| NPI | 1932247319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2025-09-11 |