| NPI | 1255852042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ANNE KRAMER Lcsw 808-784-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 59705) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 13399) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2020-05-18 |