| NPI | 1720710726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE KIBLER Licensed Mental Health Counselor 808-419-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-09-02 |