| NPI | 1205168549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CORNELIUS DONKERVOET Psychologist 808-371-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY-713) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |