| NPI | 1598913923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00238500) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37PC00238500) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00238500) | |
| 101YP1600X Counselor, Pastoral (Licence: NJ 37PC00238500) | |
| 106H00000X Marriage & Family Therapist (Licence: NJ 37PC00238500) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2013-02-12 |