| NPI | 1083970545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITZI GOLD Psychologist 808-737-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: HI 663) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3105) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |