| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral |
| 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional |
| 103K00000X Behavior Analyst |
| 106H00000X Marriage & Family Therapist |
| 171400000X Health & Wellness Coach |
| 171W00000X Contractor |
| 172V00000X Community Health Worker |
| 1744G0900X Specialist, Graphics Designer |
| 222Q00000X Developmental Therapist |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-02-18 |