| NPI | 1356106819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE RICKARD Licensed Mental Health Counselor 808-462-6885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |