| NPI | 1801002936 | 
|---|---|
| Professional Name | C. PAUL WANIO | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH2102)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1262)  | 
| Enumeration Date | 2007-05-15 | 
| Last Update Date | 2014-06-24 |