| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| 226000000X Recreational Therapist Assistant |
| 374K00000X |
| 146D00000X Personal Emergency Response Attendant |
| 146L00000X Emergency Medical Technician, Paramedic |
| 146M00000X Emergency Medical Technician, Intermediate |
| 146N00000X Emergency Medical Technician, Basic |
| 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |