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 |