| NPI | 1568486363 |
|---|---|
| Other Name | LARRY J PORTA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013035) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH 5902) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-02-28 |