NPI | 1932607389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
372600000X Adult Companion | |
374U00000X Home Health Aide | |
376K00000X Nurse's Aide | |
Enumeration Date | 2018-01-30 |
Last Update Date | 2018-01-30 |