| NPI | 1558802017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL BERALAS Therapist 808-635-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 491) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 393) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |