NPI | 1083891469 |
---|---|
Entity Type | Organization |
Authorized Contact | GAIL LYNN TICE Clinical Psychologist 808-387-5307 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: HI 899) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2008-01-28 |