| NPI | 1205016730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSWITHA SHANAHAN Clinical Psychologist 808-941-9307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY707) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-12-05 |