| NPI | 1740039833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA ANN CLARK Psychotherapist/Owner 808-342-4568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |