| NPI | 1437222171 |
|---|---|
| Professional Name | MICHAEL JAY PONTIUS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401006132) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801062098) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |