| NPI | 1144328931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ PC01046) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ FI0014959) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-11-22 |