| NPI | 1053609958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON SEALES Licensed Clinical Psychologist 808-225-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 1159) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |