| NPI | 1194163253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA D ORTIZ Licensed Psychologist 808-674-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: HI PSY893) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2022-02-25 |