| NPI | 1114452778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MCNICHOLS Clinical Psychologist 808-554-2867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 1632) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |