| NPI | 1720262033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00358500) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YS0200X Counselor, School | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |