| NPI | 1780279398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE FONG Owner 808-664-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-05-07 |