| NPI | 1700413051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE M.R. AURELLANO Licensed Clinical Psychologist 808-348-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |