| NPI | 1154509644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRIE BOLAND BALMORES Psychologist 808-228-6057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI 964) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |